Question 2422
{"accessible":true,"alternatives":[{"id":11913,"text":"arthroscopy only"},{"id":11914,"text":"drill the lesion"},{"id":11915,"text":"drill and fix the lesion"},{"id":11916,"text":"remove a fragment"}],"archived":false,"correctAlternativeId":11915,"explanation":"\u003cp\u003eThis is an anterior femoral condyle osteochondral fracture with a large fragment that appears to be in situ. The orthopedic surgeon will need to do something to fix this lesion. That might be to remove the fragment completely if it is loose in the joint. However, it appears more likely that it will be an unstable lesion that would be a candidate for in-situ fixing with screws and drilling into the marrow to promote neovascularization.\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","id":2422,"imageUrl":"https://prod-images-static.radiopaedia.org/images/57062419/9b3a7051747862c9c11a6318a8d50c64904a92983e4f78a4ab8279b9aae3a640_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":96991},"imageAttributionCaseInfo":{"title":"Juvenile osteochondritis dissecans - unstable","contributor_name":"Jeremy Jones","contributor_param":"drjermy","case_rid":96991,"case_param":"juvenile-osteochondritis-dissecans-unstable"},"firstQuestionPath":"/questions/2422","nextQuestionPath":"/articles/osteochondral-fracture/questions/2421","relatedArticles":[],"alsoUsedIn":[{"id":1353,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1353","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1353"},{"id":1200,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1200","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1200"},{"id":248,"kind":"LiveSchedule","title":"248","link":"https://radiopaedia.org/admin/live_schedules/248"},{"id":166,"kind":"LiveSchedule","title":"166","link":"https://radiopaedia.org/admin/live_schedules/166"},{"id":1296,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1296","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1296"},{"id":1296,"kind":"Course","title":"Paediatric Lectures - page 1296","link":"https://radiopaedia.org/courses/paediatric-lectures/pages/1296"}],"stem":"\u003cp\u003eAn adolescent with the lesion shown here in the anterior knee has an arthroscopy with a plan for treatment. What treatment do you expect to be required from the key image?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2422"}],"attemptsPercentages":[{"alternativeId":"11914","percentage":11},{"alternativeId":"11913","percentage":11},{"alternativeId":"11915","percentage":67},{"alternativeId":"11916","percentage":11}],"promptToLogin":false,"questionManager":false,"articleId":"osteochondral-fracture"}